William Wes Shelton, DDS, MDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3612 Issued in AR

Practice address

2001 N Green Acres Rd
Fayetteville, AR 72703-2619

Phone

(479) 521-6400

Fax

(479) 521-0164

NPI assigned

Apr 20, 2007

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ar Periodontal & Implant Assoc

  • Dentist
  • Harrison, AR
  • NPI 1346643699
  NPD (past)
• Ar Periodontal & Implant Assoc

  • Dentist
  • Fayetteville, AR
  • NPI 1881096519
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1346468915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032619",
            "telephone_number": "479-521-6400",
            "fax_number": "479-521-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032619",
            "telephone_number": "479-521-6400",
            "fax_number": "479-521-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Metro Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588539",
            "country_code": "US",
            "telephone_number": "479-636-8800",
            "fax_number": "479-636-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Rogers Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033074",
            "country_code": "US",
            "telephone_number": "479-785-4848",
            "fax_number": "479-785-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "WILLIAM",
        "middle_name": "WES",
        "name_prefix": "Mr.",
        "credential": "DDS, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Frances Shelby, PA-C
• Misty Dawn Sheldon, M.A. CCC-A
• Darby Rae Shell, PT, DPT
• Dylan Shelton
• Matthew Glenn Shelton, MD
• Sen Sheng, M.D.
• Mary Alyce Shenker, CRNA
• Alexander Elijah Shepard
• Alyson Lindsey Shepherd, LAC
• Daniel L Shepherd, M.D.

• Periodontics in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Periodontics in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.